| NPI | 1992811681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 13985) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: SC 13985) |
| 207R00000X Internal Medicine (Licence: SC 13985) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2021-05-24 |